Provider Demographics
NPI:1316326531
Name:TALKINGTON, EVAN LYNNE (LPC, LAC)
Entity type:Individual
Prefix:MISS
First Name:EVAN
Middle Name:LYNNE
Last Name:TALKINGTON
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:EVAN
Other - Middle Name:LYNNE
Other - Last Name:RUPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6200 S. SYRACUSE WAY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:720-707-9067
Mailing Address - Fax:
Practice Address - Street 1:6200 S. SYRACUSE WAY
Practice Address - Street 2:SUITE 260
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:720-707-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013876101YP2500X
101YM0800X
COACD.0001161101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty